Provider Demographics
NPI:1033436753
Name:VILLERS, SARAH LYNN (LPN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:VILLERS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N7284 CTY P
Mailing Address - Street 2:
Mailing Address - City:ALGOMA
Mailing Address - State:WI
Mailing Address - Zip Code:54201-9605
Mailing Address - Country:US
Mailing Address - Phone:920-265-4299
Mailing Address - Fax:
Practice Address - Street 1:N7284 CTY P
Practice Address - Street 2:
Practice Address - City:ALGOMA
Practice Address - State:WI
Practice Address - Zip Code:54201-9605
Practice Address - Country:US
Practice Address - Phone:920-265-4299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI305996031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse